Registration Form for allotment: (Print
this page, fill and send to us by Regd. Post.)
To
The Managing Director,
Golokadham Ashram, H.No. 3-92/1,
Vill. Vadaparthy, Bhongir Mandal,
Nalgonda Dist., Andhra Pradesh.
Pin: 508116
Hare Krishna,
I request you to register my name for allotment of Ashram Farm-House as per the Terms
& Conditions that are agreed and binding upon me.
Name of the Applicant..................................................................
Date of
Birth..................................................................................
Father’s/Husband’s
Name...........................................................
Address for Correspondence.......................................................
.......................................................................................................
.......................................................................................................
Ph...............................................Email...........................................
Cheque/D.D.No..................................date...................................
Amount.............................(in words).............................................
..........................................drawn on (Bank/branch).....................
Date..................................
Signature of the Applicant:
Place..............................
Full Name.................................
We like to perform Bhumi Puja on............................................ |
